Ruby-fill
NDC Package 65174-125-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Ruby-fill is a . Marketed by Jubilant Draximage Inc., this product is identified by NDC 65174-125 and is authorized under FDA application NDA202153.

Identification & Billing

NDC Package Code
65174-125-01
Package Description
1 INJECTION, SOLUTION in 1 CONTAINER
Product Code
65174-125
11-Digit Billing Format
65174012501

Clinical Specifications

Proprietary Name
Ruby-fill
Dosage Form
-

Regulatory & Marketing

Labeler Name
Jubilant Draximage Inc.
FDA Application #
NDA202153
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
09-30-2016
End Marketing Date
10-30-2019
Listing Expiration
10-30-2019
Exclude Flag
D
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 65174-125-01 identifies a specific commercial package of 1 injection, solution in 1 container of Ruby-fill, labeled by Jubilant Draximage Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Jubilant Draximage Inc. on September 30, 2016. The current certification is valid through October 30, 2019.

How is this Jubilant Draximage Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 65174012501. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
65174-125-01
11-Digit CMS (5-4-2)
65174-0125-01

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.